report on state level consultation on hospital …...report on state level consultation on hospital...

Report on State Level Consultation on Hospital Safety and

Disaster Management

State Institute of Health & Family Welfare, Thycaud, Trivandrum

20-07-2019

Introduction

The combined project of KSDMA-UNDP- ‘Comprehensive Plan for Hospital Safety and

Disaster Management’ is proposed to be implemented in the 14 major public hospitals of

Kerala (one in each district), to examine the hospital safety standards and to equip the

hospital administration prevent and manage disasters which are relevant to the health sector.

The one day state level consultation was conducted on 20-07-2019 at KSIHFW to kick start

the program across the state of Kerala.

Participants

The participants in the workshop included Virtual Cadre Officials/ Nodal Officers of

disaster management of Department of Health in the districts of Kerala along with the

representatives from General/District Hospitals of all districts. There were a total of 52

participants, in total. List of registered participants is enclosed.

Sessions

Inaugural session

The workshop was inaugurated by Dr V Meenakshi, Additional Director, Public Health,

Government of Kerala. In her inaugural address, she recollected how the health staff had

dealt the flood disaster last year and the scope for planning and coordination. She also

stressed on the importance of robust Disaster Management training, citing the example of

2018 Nipah outbreak. Dr Swapnakumari, Vice Principal, KSIFW presided the function. She

shared her experience of handling public health issues during Ockhi cyclone, as District

Programme Manager, National Health Mission. Mr Job Zachariah, UN Recovery Coordinator

outlined the importance of preparedness in the health sector in connection with disasters. He

suggested scaling up of the project to CHCs and PHCs to equip them to function during all

disasters. Mr Job Zachariah discussed the three scenarios of Hospitals and Disasters and

connected to this to the concept of ‘Green Hospitals’. Dr Prathap Chandran, Surveillance

Medical Officer, National Polio Surveillance Project, WHO, explained the importance of

preparatory measures to face any disaster. Mr Joe John George (State Project Officer,

UNDP), Dr Sreeja Nair and Mr Ronu Mathew participated in the inaugural session.

Forenoon session

In the first session during the forenoon, Dr Anil Vasudevan, Deputy Superintendent, GH,

Thiruvananthapuram, chaired the panel discussion. He mentioned about the current condition

of public hospitals and recent projects in the health sector on Trauma care program and

ambulance services. Moreover, he talked on the importance of fire safety, pollution control,

importance of using Personal Protective Equipment during disaster rescue, strengthening

healthcare for emergency management and the need to invest more in Disaster Management

through mitigation efforts such as training and capacity building.

Dr Hari Kumar, Regional Coordinator for South Asia, Geo Hazard International, presented

on ‘National Perspective on Hospital Safety’. He mentioned basic principles of Disaster

Management and Disaster Management frameworks such as Sendai Framework, DM Act-

2005 and NDMA guidelines on Hospital Safety, 2016. Relevance of functionality of hospital

in disaster situation was discussed in sufficient detail.

Dr Cyril G Cherian, Nodal Officer, Ernakulam presented the ‘Hospital Disaster

Management Plan’ of Ernakulam district. He also shared his personal experiences during

flood and similar disaster situations.

Later, Ms Chithra, Instructor, Indian Institute of Emergency Medical Services (IIEMS)

presented the results of a study on Training Needs Assessment (TNA) conducted by UNDP,

KSDMA and IIEMS.

Further, during the question-answer session, there were several questions from the audience

for which the panellists responded. Dr Sujith from Idukki suggested that there needs to be a

training of multi sectoral stakeholders on disaster management, especially structural safety.

The panellists agreed to it and responded that such trainings may be included in the future

along with policy level interventions. Mr Job Zachariah described the importance of bringing

the policy makers into formal platform.

Another question was on the need of sending doctors for pre hospital care on field to which,

Dr Cyril Cherian responded that such a team was constituted due to the need of the time. The

team was constituted with different medical and paramedical staff, and not just doctors alone.

To another question, he responded that the plan development started from 2008 onwards and

could be completed in one year under the current circumstances without much cost involved.

The task is doable, and is a work in progress. There was another question whether special

consideration for differentially abled persons was there in the plan, which he replied in

negative. To a question whether the despatch time of 20 minutes can be reduced, the

panellists agreed that it would be difficult.

There was a suggestion from a participant that various funds from different sources like

NCRMP may be channelized and integrated to this common capacity building program.

Regarding unsafe buildings and inadequate structural mitigation measures, the panellists

suggested that the regulatory measures provided in DM Act may be used by the DDMA as

appropriate checks.

Afternoon session

Post lunch session was chaired by Dr Ajith Venugopal from MOSC Medical College,

Kolenchery. Dr Harikumar presented the basics of Hazard- Vulnerability- Risk analysis and

various structural and non-structural mitigation measures. He emphasized on the importance

of good quality design and construction.

Mr Ronu Mathew from KSDMA presented the structure of the proposed Hospital DM

Committee. Importance of representative from each committee was brought into attention. He

added that the structure of committee may not be strictly followed across all hospitals, as

specifications of each hospital may be different.

Dr Uma Vasudevan, DPO- UNDP, presented the draft template of Hospital Disaster

Management Plan. Importance of each aspect of the plan was stressed, taking into account

various aspects of Hospital Safety and Disaster Management.

Major deliverables- Way forward

Mr Joe John George, SPO listed down various deliverables of the project, while discussing

‘way forward’:

Initially, the Hospital Safety Project will be implemented in 14 selected Government

Hospitals of the state (one in each district).

Three documents which were discussed- NDMA Guidelines on Hospital Safety,

Health Departmental DM Plan and draft template of Hospital Disaster Management

Plan will be sent to the participants within a few days.

Participants shall send the feedback/ suggestions of the draft template of Hospital

Disaster Management Plan to KSDMA office within a week of receipt of the

template.

From every selected hospital, representatives from the Hospital Disaster Management

Committee (one representative from each department) shall be provided specialized

training on comprehensive Hospital Safety and Disaster Management. A detailed

training module shall be prepared, with respect to this specialized training

programme. List of trainers shall be provided by the respective hospitals.

One-day orientation programme on Hospital Disaster Management shall be provided

to all district hospitals.

Once Hospital Disaster Management Plans are prepared, every concerned hospital

shall test the effectiveness of plans by conducting mock drills.

Other stakeholders such as NCRMP may be involved in further up scaling of the

project, using their funds available for Capacity Building.

Photo documentation

Dr. V. Meenakshi, Additional Director (Public Health) delivers the inaugural address

Dr. Swapnakumari, Vice- Principal, KSIHFW presides over the function

Mr Job Zachariah, UN Recovery Coordinator talks on the importance of up scaling the

project

Dr Hari Kumar, Regional Coordinator for South Asia, Geo Hazard International,

presents ‘National Perspective on Hospital Safety’

Dr Prathap Chandran, Surveillance Medical Officer, National Polio Surveillance

Project, WHO explains the importance of disaster preparedness

Dr Ajith Venugopal, Consultant, MOSC Medical College, Kolenchery chairs the

post-lunch session

Photos of various sessions

Sl No Name Designation & district Phone No Email ID

1 Dr.Hyma MS Medical Officer , Skill Lab

SHSRC

8113903661 [email protected]

2 Dr.Dhanuja.VA JAMO, Research Office

SHSRC-K, Trivandrum


3 Mrs.Chithra

Chandran A

Instructor,NDLSF, Indian

Institute of Emergency

Medical Service, Kottayam


4 Dr.Ragasree

Govind

Public Health professional

(BAMS,MPH)

Intern-in SHSRC –K ,

Trivandrum


5 Dr.Resmy Rajan Consultant , District hospital

,Palakkad

85477622674

[email protected]

6 Dr.Prasanth RMO, General Hospital,

Thrissur


7 Ramesh Krishnan Executive Director, FAO,Tvm 7907680589 [email protected]

8 Dr.Asha K John Deputy Superintendent 9037032936 [email protected]

9 Dr.VS Rajeswary Consultant in PMR ,GH-

Pathanamthitta


10 Dr.Sukesh Raj Deputy DMO, Trivandrum 9447201733 [email protected]

11 Dr.Abdhul Jaleel RMO ,GH-Manjeri 944648883 [email protected]

12 Dr.Raoof.AK Consultant in

GH-Manjeri


13 Dr.Babu.U Civil Surgen

Kondoty


om

14 Dr. Sribiju MK Consultant ,Calicut 9846946123 [email protected]

15 Dr. V. Leka Deputy Supdy

District Hospital, Kannur


16 Dr.Abas K Deputy DMO

DMO(H),Pacakkah


17 Dr. Nandini CS Deputy DMO, Pathanamthitta 9447112415 [email protected]

18 Dr.Rekha M

Ravindhran

SRO

SHSRC


m

20 Dr.Sindhu

Sreedharan

JAMO

DHS-PH


om

21 Dr Sajith John Jr Consultant

Pediatrics

DH, Idukki


22 Cyriac.K.J State Community mobiliser

NCRMP, Tvm


23 Dr. Anoop T. K Deputy DMO(H), Thrissur 9447282986 [email protected]

Annexure I- List of Participants

mailto:[email protected]















24 Dr. R. Sandhya Deputy DMO(H), Kollam 9744140055 [email protected]

25 Dr. Cyril G.

Cherian

J C Ortho Nodal Officer,

Ernakulam D.H Aluva


26 Dr. Sheeja. R. S RMO i\c

GH, Trivandrum


27 Dr. Ajith V Head, Dept. of Emergency

Medicine, MOSC Medical

College Hospital, Ernakulam


28 Dr. Ajitha V Assistant Director

Deputy Supdt.

DH Kollam


29 Dr. Sunil .S Assistant Director

Supdt. Taluk Haripad

Alappuzha


30 Dr. Parvathy JAMO

DMO(H)

Alappuzha


m

31 Dr. Rio Mathew

Koshy

Medical officer PHC,

Chittarikkal,

Kasaragod


32 Dr. Vimal Vijay Asst. Police Surgeon RMO i\c

GH Kottayam


33 Dr. Anitha Kumari

.T.

Deputy DMO 9020624670 [email protected]

34 Dr. Jobin. G.

Joseph

JAMO, Idukki 9745350926 [email protected]













Sl No District Hospital No: of Beds

1 Thiruvananthapuram

General Hospital,

Thiruvananthapuram

747

2 Kollam District Hospital

537

3 Pathanamthitta

General Hospital 414

4 Alappuzha


5 Kottayam


6 Idukki

District Hospital, Painavu 130

7 Ernakulam


8 Thrissur


9 Palakkad

District Hospital 544

10 Malappuram

General Hospital, Manjery 501

11 Kozhikode

General Hospital,

Kozhikkode (Beach)

550

12 Wayanad

District Hospital,

Mananthawadi

500

13 Kannur District Hospital

616

14 Kasaragod

District Hospital 400

*****

Annexure II- List of Hospitals selected for Hospital Safety

Project

report on state level consultation on hospital …...report on state level consultation on hospital...

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